Bambach Bambino

(Shown with optional backrest)

Order code: CHD

Following consultation with therapists and several years of using Bambach products with children with special needs, we have found that using a Bambach from as early an age as possible brings about the best results. The Bambino is the smallest member of the Bambach family and is designed to provide the postural benefits of the Bambach to children as young as 2 years old. It can also be used by older children who are smaller in stature or who have a narrower frame.

Key features

  • Compact saddle profile
  • Ensures a healthy posture in school or home environment
  • Easy clean black vinyl covering with distinctive gold front and rear
  • Available with an adjustable height stem or gas lift options
  • Manually adjusted tilt mechanism (-5° - +15°)
  • Black star base (457mm footprint)
  • Locking castors

Optional extras

  • Back rest
  • Fixed lap belt
  • Trunk harness
  • Height locking bracket
  • Removable tilt handle
  • Standard soft castors
  • Locking when loaded castors
  • Locking when unloaded castors
  • Glides

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Call 0800 581108

Standard Bambach

Order code: BAM 1SN

The standard Bambach Saddle Seat is suitable for schoolchildren from the age of 4 or 5 depending on growth and can be used by that same child through their school years and onwards into adulthood. The Bambach ensures healthy spinal posture by maintaining and supporting the pelvis in an upright neutral position. The standard Bambach, like all of the Bambach seats comes with an optional backrest and lap belt depending the individual’s needs. All Bambach seats come with an appropriate height gas lift and a star base with locking castors to suit the user environment and the particular needs of the user.

Key features

  • Ensures a healthy posture in school, home or work environment
  • Easy clean vinyl covering in a choice of colours
  • Available with an adjustable height stem or gas lift options
  • Manually adjusted tilt mechanism (-5° - +15°)
  • Black Swedish aluminium star base (558mm footprint)
  • Locking castors

Optional extras

  • Back rest
  • Fixed lap belt
  • Trunk harness
  • Height locking bracket
  • Removable tilt handle
  • Standard soft castors
  • Locking when loaded castors
  • Locking when unloaded castors
  • Glides

Try it for free

Call 0800 581108

Cutaway Bambach

Order code: BCS

Like the standard Bambach Saddle Seat, the cutaway encourages a healthy sitting posture with all the benefits that go along with having the pelvis and spine in a neutral position. The Cutaway differs however in the fact that the front pommel is slightly narrower. This means that the user has their knees slightly closer together with less abduction of the hips. This is particularly useful for children with a narrower pelvis or more commonly for the child with muscle tightness of the adductor muscles of the inner thigh, which is a common neurological symptom (in particular in children with Spastic Diplegia CP), and may limit the child’s ability to straddle the standard Bambach.

Key features

  • Like the standard Bambach but with a narrower pommel at the front
  • Suitable for children with a narrower pelvis and limited hip abduction
  • Easy clean vinyl covering in a choice of colours
  • Available with an adjustable height stem or gas lift options
  • Manually adjusted tilt mechanism (-5° - +15°)
  • Black Swedish aluminium star base (558mm footprint)
  • Locking castors

Optional extras

  • Back rest
  • Fixed lap belt
  • Trunk harness
  • Height locking bracket
  • Removable tilt handle
  • Standard soft castors
  • Locking when loaded castors
  • Locking when unloaded castors
  • Glides

Try it for free

Call 0800 581108

Executive Bambach

Order code: EXE

The Executive Bambach is the largest of the Bambach family. Suitable for either a larger framed user or for a younger child who requires a greater sitting surface, the Bambach Executive ensures that the users are sitting comfortably in a healthy upright posture but are also safe and secure and fully supported.

Key features

  • The largest of the Bambach seats
  • The greater seat area provides postural support for the larger user
  • Ensures a healthy posture in school, home or work environment
  • Easy clean vinyl covering in a choice of colours
  • Available with an adjustable height stem or gas lift options
  • Manually adjusted tilt mechanism (-5° - +15°)
  • Black Swedish aluminium star base (558mm footprint)
  • Locking castors

Optional extras

  • Back rest
  • Fixed lap belt
  • Trunk harness
  • Height locking bracket
  • Removable tilt handle
  • Standard soft castors
  • Locking when loaded castors
  • Locking when unloaded castors
  • Glides

Try it for free

Call 0800 581108

Adjustable height footplate

Order code: AFP

There are often situations when a child will be required to use a stool or sit at a higher work surface. This may be in the home to sit at the dining table for family meals, or in the school environment when participating in lessons such as science, design technology etc., using work benches. For this reason, Bambach have developed an adjustable height footplate. The footplate is fully adjustable in height and can also be rotated 180 degrees to the rear when not required and the seat used as normal. The adjustable height footplate comes with an oversized star base to ensure stability of the seat when using the footplate.

Key features

  • Can be fitted to Bambino, Standard and Cutaway seats with gas lift stems (FGL1-4)
  • Larger 5 star base for greater stability (700mm footprint)
  • Textured non-slip top surface
  • Graduated guide for ease of re-positioning
  • Can be rotated 180 degrees when not needed
  • All locking castors

LEFT: This image shows the graduated guide located at rear of the gas lift.

RIGHT: The footplate in store mode – Rotated to the rear allowing the user to have their feet on the floor.

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Fixed height footplate

Order code: FP (single), FT (twin)

Fixed footplates can be fitted to the star base when a child has a slight issue with seat height. These can be built up depending upon the individual needs of the child. A single footplate can also be fitted and is particularly beneficial for users with a leg length discrepancy. A single footplate can also be used to encourage active use of a weaker limb which is common in individuals with Hemiplegia. The base can also be rotated to ensure that the footplates are at the rear when not required.

Key features

  • Available for left foot, right foot or both feet
  • Strong 15mm Birch plywood construction
  • Textured non-slip top surface
  • Stylish footplate profile
  • Can be rotated to rear of seat when not needed
  • The height profile can be raised by fitting additional rests
  • Glides

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Call 0800 581108

Bambach parts and upgrades

Spare parts are available for all Bambachs.
Please contact us with a brief description of what you need.

Or, call us free on 0800 581108

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Free paediatric stem upgrade

The Bambach saddle seat is a therapeutic seat for life! As well as featuring an adjustable
hydraulic stem, every Bambach purchase includes a FREE stem upgrade! This ensures that as
the child grows and develops they will continue to enjoy the benefits provided by the Bambach.
Please contact us with a brief description of what you need.

Or, call us free on 0800 581108

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Returning trial seats

If you decide to return the seat, it’s easy to pack it up.

If your seat has a backrest, just undo the knob at it's base and pull it out. Get the original box out
and pack the seat (and backrest if applicable) in the box. Then fold the box flaps back down and tape the seams down.
To arrange collection, either call our Freephone number, or complete the form below.

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How the Bambach can help with Osteoarthritis of the hip

 

 

 

Osteoarthritis of the hip

Hip osteoarthritis (OA, also called degenerative joint disease) is the most prevalent pathologic condition at the hip joint characterised by degeneration of the articular cartilage.

 

Anatomy of Hip Joint

The hip joint (femoro-acetabular joint) is a ball-and-socket type of joint, with the femoral head situated within the concavity formed by the acetabulum and labrum. This anatomic arrangement allows movements in multiple planes, including flexion, extension, adduction, abduction, internal rotation, and external rotation. Significant mechanical forces (three to eight times body weight) are exerted on the hip joint during weightbearing activities such as walking, running, jumping, and lifting. Additional stresses are created by recreational activities (e.g., impacts and falls during sports) and severe trauma (e.g., motor vehicle collisions).

 

 

 

Pathophysiology of Hip OA

A primary feature of hip OA is cartilage breakdown, thus compromising the femoro-acetabular articulation. In addition the other tissues affected by the disease process include subchondral bone, synovial fluid, ligaments, synovial membrane, joint capsule, and adjacent muscles. Eventually, the joint develops osteophytes (exostosis, marginal bone growth), joint space narrowing, bone sclerosis adjacent to the joint and potentially even joint fusion (arthrosis).

 

Classification and Aetiology of Hip OA

OA can be classified as either primary (idiopathic, unknown cause) or secondary. The most common form of hip OA is primary which is due to ‘wear and tear’ degenerative changes that occur over time. Hip OA is considered secondary if a specific underlying cause can be identified, such as significant prior hip trauma, joint infection or pre existing congenital deformities. Hip trauma is usually significantly associated with unilateral OA, whereas obesity is associated with bilateral OA. Occupational heavy lifting and frequent stair climbing seem to increase the risk of hip OA.

 

Symptoms

Groin pain is the classic symptom for hip OA. Other symptoms include hip pain, stiffness and associated functional limitations. There can be groin pain with some referred pain down toward the medial knee. Hip OA usually has an insidious onset, is worse with activity particularly with weight bearing and rotational loading of the joint and eases with rest. Advanced OA may be painful even at rest.

 

Functional Limitations

Patients with hip OA often have functional limitations in weight bearing activities such as walking, running and climbing stairs. The hip mobility/range of motion restrictions may cause difficulties with activities such as donning or doffing of socks and shoes, picking up clothing from floor and getting in and out of cars. Hip pain and weakness may necessitate use of upper limbs to arise from chair.

 

Treatment

Exercise:

An exercise program that includes range of motion, strengthening and aerobic conditioning by walking and aquatic therapy is usually recommended. Strengthening exercises should address all planes of hip movement. Usually the patients may begin with static strengthening exercises to minimize joint movements that could increase the OA symptoms and then progress to dynamic exercises that can maximise strength and function.

 

Stretching:

This can address mobility/range of motion restrictions in patients with hip OA. Flexibility programs often begin with patients gently moving their joints through the available range of motion (to maintain available range of motion/mobility) and then progress to regaining of lost mobility/range of motion.

 

Use of Adaptive Equipment:

Hip OA pain may be decreased by using a cane in the opposite hand to the side of OA; this shifts the centre of gravity medially, away from the involved hip thus decreasing the pressure on the hip joint. A shoe lift can correct leg length discrepancy caused by hip joint space narrowing or superior migration of the femoral head within the acetabulum. Adaptive equipment like reachers, sock donners, long-handles shoe horns, elastic shoe laces may help maximize independence despite persistent physical impairments.

 

Surgery:

Surgery is usually considered in advanced stage of hip OA where there is severe pain and mobility restriction. Surgical treatment of hip OA includes joint realignment joint fusion (arthrodesis) and most commonly joint replacement (arthroplasty). Hip joint arthroplasty Can be categorised as either hemiarthroplasty (prosthetic replacement of the proximal femur while the acetabulum is left intact) or total hip arthroplasty (also called as total hip replacement, with surgical replacement of both the acetabulum and the proximal femur).

 

How can Bambach help with symptoms associated with Hip Osteoarthritis

Strengthening and Mobility exercises play an important aspect in the treatment of hip OA; the Bambach Saddle Seat can provide the same benefits as the above treatments and can decrease the need for surgical intervention. If exercises are undertaken along with the use of Bambach Saddle Seat, the benefits can be doubled.

 

The Bambach saddle seat can provide the following benefits

  • In normal sitting the weight of the body is borne on both ischial tuberosities, causes compression forces at ischial tuberosities and then transferred to the hip joint; this in turn decreases the joint space. When a person is seated relaxed on a saddle seat it rotates the thighs outwards and the legs of the person naturally rotates out into an adducted (knee open) position. This position opens the hip joint (external rotation of hip), increases the joint space and decreases the stress exerted on the hip joint, stretches the adductors and prevents backward movement of the pelvis. This is the natural resting position of the hip joint which decreases the pain and symptoms associated with hip OA.
  • When the hip joint is in a relaxed position (as observed when using a Bambach saddle seat) the cartilage imbibes nutritional fluid which can aid the healing of hip OA in the long term.
  • Poor sitting posture (slouched sitting) internally rotates the hip, compresses the hip joints and can increase the pain associated with hip OA. Using a Bambach saddle encourages good sitting posture and decreases the forces exerted on hip joint which in turn decreases the pain associated with hip OA.
  • Better spinal alignment by maintaining the pelvis in a slightly anterior tilted position allowing the spine to maintain its natural ‘S’ shape as observed in standing.
  • This position also recruits postural muscles in the back and abdomen thus improves core stability of the body.
  • This position provides good freedom of movement for the upper limb thus improving the functional ability. The Bambach saddle seat alleviates pain and other symptoms associated with hip OA; strengthens core muscles, maintains good posture and increases functional ability.

 

Call freephone 0800 581108 (or Email info@bambach.co.uk) and ask for a FREE assessment, FREE demonstration, and FREE 30 day trial, and see how effective the Bambach Saddle Seat can be.

 

References

Cailliet R (2004) Functional Anatomy of the Musculoskeletal System 1st ed. American Medical Association Press, U.S.A
Frontera WR, Silver JK and Rizzo TD (2008) Essentials of Physical Medicine and Rehabilitation 2nd ed. Saunders Elsevier, Philadelphia
Frontera WR and Silver JK (2002) Essentials of Physical Medicine and Rehabilitation 1st ed. Hanley & Belfus, Inc., Philadelphia

 

 

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The Bambach is the only saddle seat with published independent research proving that it works!

Gandavadi A, Ramsay J R E, Burke F J T. Assessment of dental student posture in two seating conditions using RULA methodology - a pilot study. British Dental Journal 2007; 203: 601-605.
  1. H. Brevic – survey of chronic pain in Europe – European Journal of pain August 2010.
  2. The Health Survey for England 2011 – NHS 2011.
  3. The Lumbar Spine – Mechanical Diagnosis and Therapy. Spinal Publications 1981 – McKenzie 1981.
  4. Towards a better understanding of low back pain: A review of the mechanics of the lumbar disc. Rheumatology and Rehabilitation 1975. Nachemson Alf.
  5. The Computer Users survival guide O’Reilly and Assoc 1950 Stigliani J.
  6. Role of low energy expenditure and sitting in obesity, metabolic syndrome, type 2 diabetes and cardiovascular disease. Diabetes 2007 Nov. Hamilton MT Hamilton DG Zderic TW.
  7. Too much sitting: A novel and important predictor of Chronic Disease Risk? British Journal of Sports Medicine 2009 Volume 43 Issue 2. Owen N Bauman A Brown W.
  8. Your office Chair is killing you. Bloomberg Business Week April 2010.
  9. Standing at work and progression of carotid atherosclerosis. Scand J Work Environ Health 2000 June. Krause N Lynch JW Kaplan GA Cohen RD Salonen R Salonen JT.
  10. Standing at work and Varicose Veins. Scandinavian Journal Work Environ Health 2000 Oct 26. Tuchsen F, Krause N, Hannerz H, Burr H, Kristensen TS.
  11. Prolonged Standing at work and hospitalisation due to varicose veins: a 12 year prospective study of the Danish population. Occup Environ Med 2005 Dec. Tuchsen F Hannerz H Burr H Krause N.
  12. Dentists Provident Income Protection Claims Statistics 2012.
  13. Electromyographic Study of the dynamic sitting position suitable for dentists. M.Th. Verkinde, C.Lacombe and J.P.H.Lodter. University of Toulouse France. L’Information Dentaire Vol 80 No 12 26th March 1998.
  14. Assessment of dental student posture in two seating conditions using RULA Methodology - a pilot study. A Gandavadi, JRE Ramsay, FJT Burke British Dental Journal 24th November 2007.
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Freephone 0800 581 108. E-mail info@bambach.co.uk